STATE OF NC DIVISION OF HEALTH SERVICES (NPI# 1801011242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801011242 |
| Entity Type | Organization |
| Organization Name | STATE OF NC DIVISION OF HEALTH SERVICES |
| Practice Address |
10 Parker Ln Suite 1 Pinehurst NC 28374-7903 |
| Mailing Address |
Dph- Early Intervention Br 1916 Mail Service Center Raleigh NC 27699-1916 |
| Practice Telephone | 9102953133 |
| Practice Fax Number | 9102952723 |
| Mailing Telephone | 9197075520 |
| Mailing Fax Number | 9198704834 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MS. JILL SINGER (EARLY INTERVENTION BRANCH HEAD) |
| Authorized Official Telephone | 9197075520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143542 | State of Nc Division of Health Services | Clinic/Center | 145 West Parker Road, Suite A, Morganton, NC 28655-4649 | 2007-04-17 |
| 1558587972 | State of Nc Division of Health Services | Clinic/Center | 87 Bonnie Lane, Sylva, NC 28779-8511 | 2007-04-17 |
| 1063637411 | State of Nc Division of Health Services | Clinic/Center | 3311 Burnt Mill Dr, Suite 100, Wilmington, NC 28403-2654 | 2007-04-13 |
| 1891919254 | State of Nc Division of Health Services | Clinic/Center | 2359 Highway 105, Boone, NC 28607-7814 | 2007-04-13 |
| 1841414257 | State of Nc Division of Health Services | Clinic/Center | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-04-13 |
| 1104041540 | State of Nc Division of Health Services | Clinic/Center | 141 Storage Rd, Rocky Mount, NC 27804-8561 | 2007-04-13 |
| 1942424387 | State of Nc Division of Health Services | Clinic/Center | 852 Merrimon Ave, Asheville, NC 28804-2405 | 2007-04-13 |
| 1346464716 | State of Nc Division of Health Services | Clinic/Center | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-04-13 |
| 1568686988 | State of Nc Division of Health Services | Clinic/Center | 122 N Elm St, Suite 400, Greensboro, NC 27401-2842 | 2007-04-13 |
| 1801011234 | State of Nc Division of Health Services | Clinic/Center | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-04-13 |
| Street Address |
10 PARKER LN SUITE 1 |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689798852 | Lisa M Dewey | Speech-Language Pathologist | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-03-16 |
| 1689810970 | Katina Braswell | Social Worker | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-12-17 |
| 1376704882 | Virginia Brewer Long | Speech-Language Pathologist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-06-18 |
| 1679746838 | Latasha Bethea | Social Worker | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-04-09 |
| 1952593261 | Costella Marie Roberts Mckoy | Counselor | 10 Parker Ln, Suite 2, Pinehurst, NC 28374-7903 | 2007-08-10 |
| 1548382674 | Tracy Mcneill Keister | Registered Nurse | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-06 |
| 1952423584 | Misty Lynn Smith | Developmental Therapist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-04 |
| 1932221579 | Susan Lantz Fore | Developmental Therapist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-04 |
| 1922129154 | Angela Lee Callicutt | Registered Nurse | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-03 |
| 1700907409 | Diana M. Miller | Dietitian, Registered | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174355 | A Better You Wellness Center | Clinic/Center | 3103 Durant Rd, Greenville, NC 27834-6786 | 2020-08-13 |
| 1770118556 | Enable LLC | Clinic/Center | 4050 Legion Rd, Hope Mills, NC 28348-8872 | 2020-03-11 |
| 1083128508 | Almarch Family Care, LLC | Clinic/Center | 1924 Beverly Rd, Rocky Mount, NC 27801-6313 | 2017-11-20 |
| 1669995577 | L.a.s Learning Playhouse, LLC | Clinic/Center | 210 Craver Ave, Salisbury, NC 28146-5906 | 2017-07-23 |
| 1528314408 | Laura Maria Mckoy | Clinic/Center | 122 Live Oak Drive, Jacksonville, NC 28540 | 2012-07-30 |
| 1306123294 | Lane's House Adult Group Home | Clinic/Center | 3159 Octavia Dr, Rocky Mount, NC 27804-7959 | 2011-11-07 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1235388133 | Eaglemere Living Facility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2008-09-16 |
| 1043468796 | Making It Happen, Inc. | Clinic/Center | 355 Ransom Rd, Winston Salem, NC 27106-3835 | 2008-09-07 |
| 1689841298 | Safe Harbour | Clinic/Center | 13 East Dr, Jacksonville, NC 28546-8214 | 2008-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.